| NPI | 1336371483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHANDA NICOLE CLAYTON Office Manager 303-696-1919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CO 7507) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: CO 8063) |
| 1223E0200X Dentist, Endodontics (Licence: CO 8646) | |
| 1223E0200X Dentist, Endodontics (Licence: CO 7087) | |
| 1223E0200X Dentist, Endodontics (Licence: CO 9385) | |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2009-08-21 |